Benny Lee Short, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

04-28386 Issued in KS

Practice address

200 W Ross Blvd
Dodge City, KS 67801-7221

Phone

(620) 371-7300

Fax

(620) 371-7304

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ben L. Short, M.D., LLC

  • Family Medicine Physician
  • Winfield, KS
  • NPI 1629011994
  NPD (past)
• Emergency Services of Kansas, PA

  • Internal Medicine Physician
  • Newton, KS
  • NPI 1104864503

  Family Medicine

  NPD (past)
• Family Care Clinic of Western Kansas, LLC

  • Family Medicine Physician
  • Dodge City, KS
  • NPI 1780914697
  NPD (past)
• Premier Phlebology, LLC

  • Phlebology Physician
  • Wichita, KS
  • NPI 1740420520
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1104854553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ROSS BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017221",
            "telephone_number": "620-371-7300",
            "fax_number": "620-371-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ROSS BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017221",
            "telephone_number": "620-371-7300",
            "fax_number": "620-371-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "BENNY",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-28386",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-28386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "102645",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100354710C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100354710I",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100354710H",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Schultz, TLMSW
• Barbara Jean Scott, CADC III
• Samir Shaath, M.D.
• Alok Shah, MD
• Shawna L. Harris D.D.S.,P.a
• Allison Meredith Simpson, APRN
• Katie Smith, PT
• Lyle D Smith, MD
• Snodgrass Memorial Clinic, LLC
• Marcia Marie Snodgrass, ARNP

• Emergency Medicine Physician in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.